Individual provider Active NPI

Douglas E Snyder, MPT

  • Physical Therapist
  • Kalispell, MT
National Provider Identifier
1962491464
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1284PT Issued in MT
Practice address
1234 Whitefish Stage
Kalispell, MT 59901-2753
Phone
(406) 756-7878
Fax
(406) 257-7811
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1284PT MT Primary

Addresses

Primary practice location

1234 Whitefish Stage
Kalispell, MT 59901-2753

Mailing address

1234 Whitefish Stage
Kalispell, MT 59901-2753
Phone (406) 756-7878

Other identifiers 4

IdentifierTypeStateIssuer
60796OtherMTBCBS OF MT PROVIDER #
0340765MedicaidMT
0197816OtherMTWA STATE WORK COMP PROV #
MSF0512193OtherMTMT STATE FUND WORK COMP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070725000063 MT Practitioner - Physical Therapist in Private Practice 1355442021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Rehabilitation Services LLCGroup PAC ID 1456451533, 12 clinicians

Practice addresses (Care Compare)

175 Commons Loop
Suite 100
Kalispell, MT 59901-1904
Phone (406) 752-7250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1284PTMTMDPhysical Therapist
8905MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Rehabilitation Services LLC CurrentSince Sep 1, 2013 Accepting new patients
Rejuv Medical, P.a. Physical Therapist Past Accepting new patients
Kalispell Rehabilitation Associates, Inc Physical Therapist PastSince Jun 25, 2004 Accepting new patients

Locations

175 Commons Loop
Ste 100
Kalispell, MT 59901
Phone (406) 751-4200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/32275/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962491464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 WHITEFISH STAGE",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012753",
            "telephone_number": "406-756-7878",
            "fax_number": "406-257-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 WHITEFISH STAGE",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012753",
            "telephone_number": "406-756-7878",
            "fax_number": "406-257-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "DOUGLAS",
        "middle_name": "E",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1284PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MT PROVIDER #",
            "identifier": "60796",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0340765",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE WORK COMP PROV #",
            "identifier": "0197816",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT STATE FUND WORK COMP",
            "identifier": "MSF0512193",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.